You can fill out this application online and click 'submit' OR download the paper form (123K), print and mail it to:
Attn: Appeals and Correspondence, M/S BU148
P.O. Box 2998
Tacoma, WA 98401-2998
Or by fax to: 1-877-663-7526
Please do not send any other paperwork or records at this time.
If you cannot access the online or paper forms, contact UMP Customer Service at 1-888-849-3681.